Individual provider Active NPI

Thomas Eugene Crosslin III, M.D.

  • Surgery Physician
  • Rockport, ME
National Provider Identifier
1376779934
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD20101 Issued in ME
Practice address
4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Phone
(207) 921-5737
Fax
(207) 921-5333
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calais Community Hospital 7 clinicians
Huggins Hospital 27 clinicians
Mainegeneral Medical Center 554 clinicians

Practice addresses (Care Compare)

24 Hospital LN
Calais, ME 04619-1329
Phone (207) 454-7521

240 So Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

Hospital & facility affiliations

  • Calais Community Hospital Hospital, Calais, ME, CCN 201305
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140904002675 ME Practitioner - General Surgery 5890913891 Reassigns benefits to 5 organizations
I20260604000613 NH Practitioner - General Surgery 5890913891 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240684MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Calais Community Hospital CurrentSince Mar 21, 2023 Accepting new patients
Penobscot Bay Physicians & Associates CurrentSince Aug 25, 2014 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Calais Community Hospital CurrentSince Mar 21, 2023 Accepting new patients
Calais Community Hospital CurrentSince Aug 31, 2025 Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

4 Glen Cove Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5737

3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400

Interoperability endpoints

  • Direct secure messaging: thomas.crosslin.1@8356.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 240684 MA
Surgery Physician 208600000X MD20101 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235

Mailing address

4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235
Phone (207) 921-5737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2015.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1376779934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-5737",
            "fax_number": "207-921-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-5737",
            "fax_number": "207-921-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLIN",
        "first_name": "THOMAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "240684",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD20101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.